CMMC Provider Services

CMMC Provider Services was paid $534K by Medicaid between Mar 2019 and Oct 2023, across 23 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 49% of everything it billed.

33Billing provider infoCMMC PROVIDER SERVICES
WEST ORANGE, NJ 07052

33aNPI1487192324assigned 02/10/2017

33bProvider typeCritical Care Medicine (Internal Medicine) Physician

28Total paid$534K

24GClaims12,263

24DCodes billed23

24AFirst – last monthMar 2019 – Oct 2023

Compared with peers

Next to other Critical Care Medicine (Internal Medicine) Physician providers in New Jersey

Rank by total paid#3 of 36

Median peer was paid$27K

This provider vs. median20×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2019	1,568	$49K
2020	2,445	$96K
2021	2,490	$113K
2022	3,673	$161K
2023	2,087	$115K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	49%	7,798	4,973	$263K
99239	Hospital discharge day management, more than 30 minutes	12%	983	873	$62K
99460		7.5%	478	421	$40K
99464		6.3%	629	600	$34K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	5.7%	524	509	$31K
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	5.0%	420	411	$27K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	4.0%	207	206	$21K
43775		2.4%	33	27	$13K
59409	Vaginal delivery only (with or without episiotomy and/or forceps)	2.3%	13	13	$12K
43235		2.1%	152	118	$11K
59025	Fetal non-stress test	<1%	329	305	$5K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	81	78	$4K

11 more codes

99215	Doctor's office visit, returning patient (complex)	<1%	53	$3K
99238	Hospital discharge day management, 30 minutes or less	<1%	89	$3K
99218		<1%	48	$1K
99220		<1%	12	$760.52
99226		<1%	21	$647.71
59430		<1%	14	$539.96
99217		<1%	13	$493.82
99231	Subsequent hospital care, per day, straightforward or low complexity	<1%	18	$459.83
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	37	$372.35
99024		0%	298	$0.00
99203	Doctor's office visit, new patient (routine)	0%	13	$0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialMINTZ, JACQUELINE (DIR. FINANCE)

Same official

Other billing entities under MINTZ, JACQUELINE

Full network →

Provider	Location	Paid
Barnabas Health Medical Group PC	Elizabeth, NJ	$39.91M
SBMC Provider Services	West Orange, NJ	$1.62M
MMC Provider Services	Long Branch, NJ	$666K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.